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    Source: CMS Government Data
    Report Card Number
    Provider CCN
    Facility Name
    Street Address
    City
    State Code
    Zip Code
    County
    Medicare CBSA Number
    Rural versus Urban
    Fiscal Year Begin Date
    Fiscal Year End Date
    Type of Control
    Total Days Title V
    Total Days Title XVIII
    Total Days Title XIX
    Total Days Other
    Total Days Total
    Number of Beds
    Total Bed Days Available
    Total Discharges Title V
    Total Discharges Title XVIII
    Total Discharges Title XIX
    Total Discharges Title Other
    Total Discharges Total
    SNF Avg Length Stay Title V
    SNF Avg Length Stay Title Xviii
    SNF Avg Length Stay Title Xix
    SNF Avg Length Stay Total
    SNF Admissions Title V
    SNF Admissions Title Xviii
    SNF Admissions Title Xix
    SNF Admissions Other
    SNF Admissions Total
    SNF Days Title V
    SNF Days Title Xviii
    SNF Days Title Xix
    SNF Days Other
    SNF Days Total
    SNF Number Of Beds
    SNF Bed Days Available
    SNF Discharges Title V
    SNF Discharges Title Xviii
    SNF Discharges Title Xix
    SNF Discharges Title Other
    SNF Discharges Total
    NF Number Of Beds
    NF Bed Days Available
    NF Days Title V
    NF Days Title Xix
    NF Days Other
    NF Days Total
    NF Discharges Title V
    NF Discharges Title Xix
    NF Discharges Title Other
    NF Discharges Total
    NF Avg Length Stay Title V
    NF Avg Length Stay Title Xix
    NF Avg Length Stay Total
    NF Admissions Title V
    NF Admissions Title Xix
    NF Admissions Other
    NF Admissions Total
    Total RUG Days
    Total Salaries From Worksheet A
    Overhead Non Salary Costs
    Total Charges
    Total Costs
    Wage Related Costs Core
    Total Salaries Adjusted
    Contract Labor
    Cash on hand and in banks
    Temporary Investments
    Notes Receivable
    Accounts Receivable
    Allowances For Uncollectible
    Inventory
    Prepaid Expenses
    Other Current Assets
    Total Current Assets
    Land
    Land Improvements
    Buildings
    Leasehold Improvements
    Fixed Equipment
    Major Movable Equipment
    Minor Equipment Depreciable
    Total Fixed Assets
    Investments
    Other Assets
    Total Other Assets
    Total Assets
    Accounts Payable
    Salaries Wages Fees Payable
    Payroll Taxes Payable
    Notes Loans Payable Short Term
    Deferred Income
    Other Current Liabilities
    Total Current Liabilities
    Mortgage Payable
    Notes Payable
    Unsecured Loans
    Other Long Term Liabilities
    Total Long Term Liabilities
    Total Liabilities
    General Fund Balance
    Total Fund Balances
    Total Liabilities And Fund Balances
    Total General Inpatient Care Services Revenue
    Inpatient Revenue
    Outpatient Revenue
    Gross Revenue
    Contractual Allowance Discounts
    Net Patient Revenue
    Total Operating Expense
    Net Income From Service To Patients
    Total Other Income
    Total Income
    Net Income
    Inpatient Pps Amount
    Nursing Allied Health Education
    Allowable Bad Debts
    Owner Name
    Occupancy Percentage
    Medicare Total Days
    Medicaid Total Days
    Free Market Days
    Total Home Revenue
    Total Payroll Costs
    Total Home Costs
    1366736 105381 2007 SIGNATURE HEALTHCARE OF ORANGE 2029 PROFESSIONAL CENTER DRIVE ORANGE PARK FL 32073-4461 CLAY 27260 U 2022-01-01 2022-10-07 5 2086 14984 3883 20953 105 29400 51 76 107 234 40.90 197.16 89.54 65 42 112 219 2086 14984 3883 20953 105 29400 51 76 107 234 $2,545,656.00 $4,983,067.00 $1,982,531.00 $947,043.00 $399,984.00 $3,006,460.00 $308,883.00 $-34,750.00 $389,059.00 $174,642.00 $256.00 $72,131.00 $402,872.00 $681,468.00 $681,468.00 $1,084,340.00 $447,926.00 $5,407.00 $94,218.00 $1,009,496.00 $6,803,389.00 $929,516.00 $929,516.00 $7,732,905.00 $-6,648,565.00 $-6,648,565.00 $1,084,340.00 $5,069,109.00 $7,051,640.00 $7,051,640.00 $1,252,954.00 $5,798,686.00 $7,528,723.00 $-1,730,037.00 $-233,431.00 $-1,963,468.00 $-1,963,468.00 $1,165,242.00 $177,648.00 ORANGE PARK REHABILITATION AND NURSING MEMBER LLC 94.67 14984 2086 3883 $7,051,640.00 $2,545,656.00 $4,983,067.00
    1347408 105653 CONSULATE HC OF ORANGE PARK 1512 KINGSLEY AVENUE ORANGE PARK FL 32073 CLAY 27260 U 2022-01-01 2022-12-31 4 3620 27046 6267 36933 120 43800 77 7 23 107 47.01 3863.71 345.17 77 14 46 137 3620 27046 6267 36933 120 43800 77 7 23 107 $3,578,751.00 $7,630,213.00 $3,498,214.00 $1,448,296.00 $444,754.00 $3,578,751.00 $3,949.00 $1,700,188.00 $293,273.00 $54,585.00 $118,822,209.00 $10,554,236.00 $648,152.00 $709,346.00 $5,642,772.00 $6,990.00 $29,195.00 $124,494,176.00 $260,146.00 $158,394.00 $72,947.00 $1,412,864.00 $120,674,336.00 $10,354,588.00 $10,354,588.00 $131,028,924.00 $-6,534,748.00 $-6,534,748.00 $124,494,176.00 $12,455,197.00 $15,953,411.00 $15,953,411.00 $6,164,046.00 $9,789,365.00 $11,208,964.00 $-1,419,599.00 $76,440.00 $-1,343,159.00 $-1,343,159.00 $2,008,775.00 $339,445.00 1215 KINGSLEY AVE OPCO PARENT LLC 82.42 27046 3620 6267 $15,953,411.00 $3,578,751.00 $7,630,213.00
    1364087 106065 ISLE HEALTH & REHABILITATION CENTER 1125 FLEMING PLANTATION BLVD. ORANGE PARK FL 32003 CLAY 27260 U 2022-07-27 2023-03-31 4 4135 14337 6171 24643 108 26784 116 59 184 359 35.65 243.00 68.64 112 30 210 352 4135 14337 6171 24643 108 26784 116 59 184 359 $3,140,112.00 $5,398,927.00 $2,403,411.00 $1,100,185.00 $394,006.00 $3,140,112.00 $699,615.00 $270,865.00 $1,834,058.00 $125,905.00 $228,006.00 $1,643,483.00 $7,720.00 $15,019.00 $72,482.00 $26,421.00 $118,905.00 $19,192.00 $19,192.00 $1,781,580.00 $1,148,202.00 $382,660.00 $77,518.00 $1,608,380.00 $345,229.00 $345,229.00 $1,953,609.00 $-172,029.00 $-172,029.00 $1,781,580.00 $8,751,313.00 $11,109,986.00 $11,109,986.00 $2,764,171.00 $8,345,815.00 $8,539,039.00 $-193,224.00 $7,957.00 $-185,267.00 $-185,267.00 $2,427,075.00 $158,546.00 ISLE SNF HOLDCO LLC 96.85 14337 4135 6171 $11,109,986.00 $3,140,112.00 $5,398,927.00
    1367403 105962 LIFE CARE CENTER AT WELLS CROSSING 355 CORSSING BOULEVARD ORANGE PARK FL 32073 CLAY 27260 U 2022-06-01 2023-05-31 4 6548 25004 8934 40486 120 43800 271 90 302 663 24.16 277.82 61.06 276 103 309 688 6548 25004 8934 40486 120 43800 271 90 302 663 $6,718,629.00 $6,347,973.00 $5,043,844.00 $1,797,889.00 $1,102,170.00 $6,718,629.00 $497,258.00 $2,300.00 $1,248,691.00 $48,870.00 $27,957.00 $1,186,605.00 $3,078.00 $51,703.00 $51,703.00 $4,956,835.00 $5,041,379.00 $6,279,687.00 $527,351.00 $371,517.00 $15,295.00 $237,826.00 $4,189.00 $1,156,178.00 $4,645,108.00 $524,150.00 $2,338,838.00 $3,495,016.00 $2,784,671.00 $2,784,671.00 $6,279,687.00 $16,007,633.00 $20,900,616.00 $20,900,616.00 $7,868,408.00 $13,032,208.00 $13,066,602.00 $-34,394.00 $352,967.00 $318,573.00 $318,573.00 $3,688,470.00 $103,949.00 HALL, TIMOTHY 95.67 25004 6548 8934 $20,900,616.00 $6,718,629.00 $6,347,973.00
    1371120 105928 LIFE CARE CENTER OF ORANGE PARK 2145 KINGSLEY AVENUE ORANGE PARK FL 32073 CLAY 27260 U 2022-08-01 2023-07-31 6 8625 39889 11600 60114 180 65700 387 160 240 787 22.29 249.31 76.38 386 158 250 794 8625 39889 11600 60114 180 65700 387 160 240 787 $9,124,640.00 $9,012,639.00 $5,797,334.00 $2,071,433.00 $1,500,839.00 $9,124,640.00 $234,964.00 $2,200.00 $14,894.00 $1,853,724.00 $181,154.00 $31,158.00 $1,669,756.00 $1,856.00 $418,597.00 $13,457.00 $68,625.00 $18,405,714.00 $18,546,471.00 $20,284,852.00 $682,289.00 $472,110.00 $83,899.00 $486,503.00 $9,606.00 $1,734,407.00 $17,136,305.00 $1,546,660.00 $-15,003,324.00 $-13,268,917.00 $33,553,769.00 $33,553,769.00 $20,284,852.00 $22,701,208.00 $28,398,775.00 $28,398,775.00 $10,076,094.00 $18,322,681.00 $18,137,279.00 $185,402.00 $417,665.00 $603,067.00 $603,067.00 $5,072,529.00 $172,339.00 94.06 39889 8625 11600 $28,398,775.00 $9,124,640.00 $9,012,639.00
    1367037 106077 MOOSEHAVEN INC. 1701 PARK AVENUE ORANGE PARK FL 32073 CLAY 27260 U 2022-05-01 2023-04-30 2 2152 2115 4446 8713 74 27010 44 15 29 88 48.91 141.00 99.01 61 5 18 84 2152 2115 4446 8713 74 27010 44 15 29 88 $6,528,854.00 $13,344,273.00 $1,619,925.00 $503,615.00 $1,457,988.00 $6,528,854.00 $303,815.00 $639,832.00 $248,521.00 $2,861,464.00 $190,795.00 $108,370.00 $66.00 $-1,370,138.00 $878,734.00 $49,350,138.00 $7,452,664.00 $34,078,963.00 $1,308,943.00 $125,381.00 $1,434,324.00 $34,143,149.00 $334,327.00 $375,554.00 $-3,596,122.00 $690,607.00 $-2,195,634.00 $3,948,655.00 $3,948,655.00 $1,753,021.00 $32,390,128.00 $32,390,128.00 $34,143,149.00 $6,159,652.00 $17,900,294.00 $17,900,294.00 $10,944,587.00 $6,955,707.00 $19,873,127.00 $-12,917,420.00 $10,800,063.00 $-2,117,357.00 $-2,117,357.00 $1,122,379.00 MOOSEHAVEN INC 35.28 2115 2152 4446 $17,900,294.00 $6,528,854.00 $13,344,273.00
    1349123 105586 THE PALMS NURSING AND REHAB AT ORANG 833 KINGSLEY AVENUE ORANGE PARK FL 32073 CLAY 27260 U 2022-01-01 2022-12-31 4 3031 16586 14724 34341 120 43800 45 59 170 274 67.36 281.12 125.33 79 99 158 336 3031 16586 14724 34341 120 43800 45 59 170 274 $6,304,976.00 $6,169,691.00 $2,929,135.00 $2,140,142.00 $1,022,931.00 $6,304,976.00 $286,177.00 $2,100,572.00 $1,422,712.00 $303,903.00 $16,673.00 $185,916.00 $3,421,970.00 $1,425.00 $43,383.00 $10,452.00 $-224,266.00 $-458,665.00 $2,973,757.00 $999,261.00 $1,084,079.00 $517,562.00 $2,600,902.00 $1,925,814.00 $1,925,814.00 $4,526,716.00 $-1,552,959.00 $-1,552,959.00 $2,973,757.00 $8,168,725.00 $11,206,308.00 $11,206,308.00 $90,303.00 $11,116,005.00 $12,474,667.00 $-1,358,662.00 $3,773.00 $-1,354,889.00 $-1,354,889.00 $1,710,988.00 $185,051.00 86.33 16586 3031 14724 $11,206,308.00 $6,304,976.00 $6,169,691.00
    1382384 105692 VIVO HEALTHCARE ORANGE PARK 570 WELLS ROAD ORANGE PARK FL 32073 CLAY 27260 U 2022-09-09 2022-12-31 6 1019 6028 3243 10290 120 13680 28 28 85 141 36.39 215.29 72.98 37 22 87 146 1019 6028 3243 10290 120 13680 28 28 85 141 $1,563,959.00 $2,073,148.00 $640,777.00 $464,205.00 $175,372.00 $1,563,959.00 $207,356.00 $-50,896.00 $1,952,275.00 $41,988.00 $51,820.00 $2,849,712.00 $7,120.00 $1,963.00 $8,624.00 $2,858,336.00 $558,639.00 $99,240.00 $10,627.00 $14,930.00 $3,155,805.00 $3,155,805.00 $-297,469.00 $-297,469.00 $2,858,336.00 $4,180,609.00 $4,821,386.00 $4,821,386.00 $1,485,488.00 $3,335,898.00 $3,637,107.00 $-301,209.00 $3,738.00 $-297,471.00 $-297,471.00 $596,572.00 $181,151.00 JACKSONVILLE 3 ORANGE PARK OPCO HOLDINGS LLC 90.42 6028 1019 3243 $4,821,386.00 $1,563,959.00 $2,073,148.00